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HLTH 1001.
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Exam of 15 pages for the course Basic Human Nutrition Final at Basic Human Nutrition Final (HLTH 1001.)
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HLTH 1001Social Determinants of Health - ANS-conditions in which people are born, grow, live,
work and age. These circumstances are shaped by the distribution of money, power,
and resources at global, national and local levels. The determinants of health are mostly
responsible for health inequities (World Health Organization)
Determinants of Health - ANS-broad range of personal, social, economic and
environmental factors that determine individual and population health: income,
employment, education, lifestyle (where you live, access to clean water/food?),
genetics, gender. Culture, race (Government of Canada)
Social Determinants of Health - ANS-specific group of social and economic factors
within broader determinants of health related to an individual's place in society (income,
education, employment). Experiences of discrimination, racism and historical trauma
are important social determinants for certain groups such as Indigenous Peoples,
LGBTQ, and Black Canadians (Government of Canada)
Interobserver Reliability - ANS-many people are seeing the same thing, used to find
fundamental qualities of a given subject
· Context: interaction between genetics and behaviours
o Ex. "risk factor approach", smoking and drinking in Osaka vs Ottawa
Socioeconomic Influence - ANS-incidence of most diseases is higher among people
with lower incomes
In Every Known Affluent Society - ANS-the richer you become/longer you attend
school/the better your health, the longer you will live
Education, income, and relative social position are more predictive of health -
ANS-Canadians health inequalities most attributable to education
Health Resources - ANS-Positive effects from lifestyle changes are greatest for people
already living in favoured economic and social circumstances (any improvements in
lifestyle changes tend to benefit those who are already healthy) (disproportionate effect
on those who are already healthy)
o Trying to close the gap between wealthy (affluent), most educated, and poor (health
inequalities)
, · Uptake and translation of information is faster for the affluent (more resources for
lifestyle modifications than poorer people)
Healthcare - ANS-fair access to good quality healthcare will not close the health gap
between rich and poor
Social Epidemiologists - ANS-our current health problems arise mostly as a result of
poor public policies stemming from a democratic deficit
o Experts who look at what influences health
o The absence of fair, accountable, participatory mechanisms that foster human rights
and personal development
o Ex. We have to have bills passed at the federal level to allow/provide changes
(fundamental/systemic shift)
Path to improving Population Health (gateways to improving health systemically -
ANS-Greater gender equity (mothers, children)
o Less sociocultural exclusion
o Accountable government and corporations
o Fairer employment practices
o More supportive communities
o Better environmental stewardship
o Goals other than economic exploitation of natural and human resources (ex. Global
economic crisis 2008)
Securing human rights and economic sustainability - ANS-Norway, Netherlands,
Australia:
o Canada has room for improvement
o Ex. We have to pay for childcare whereas other countries are more advanced in
helping the people
P- HAC Determinants of Health - ANS-Income and social status
2. Social support networks
3. Education and literacy
4. Employment/working conditions
5. Social environments
6. Physical environments
7. Personal health practices and coping skills
8. Healthy child development
9. Biology and genetic endowment
10. Health services
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